Provider Demographics
NPI:1730774480
Name:JONES, LAYLAH (QMHS 3YR)
Entity type:Individual
Prefix:
First Name:LAYLAH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:QMHS 3YR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 MONROE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3467
Mailing Address - Country:US
Mailing Address - Phone:419-724-1500
Mailing Address - Fax:
Practice Address - Street 1:5734 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2038
Practice Address - Country:US
Practice Address - Phone:419-724-1500
Practice Address - Fax:419-724-1616
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health